XXXV Classification of Middle Ear Effusions

The differential diagnosis of effusions is commonly based on morphologic findings, i.e., appearance and position of the tympanic membrane, the presence or absence of fluid in the middle ear, the patency of the lumen of the Eustachian tube and the audiologic findings. In the hands of the knowledgeable and experienced otologist a correct diagnosis based on these observations can be made in a high percentage of patients, but mistakes do occur.

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